| NPI | 1326551342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 092630) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NY 101415) |
| 1041C0700X Social Worker Clinical (Licence: IL 149.025942) | |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2023-09-28 |