| NPI | 1336600212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.022620) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 33984) |
| 104100000X Social Worker (Licence: IL 150.102834) | |
| 1041C0700X Social Worker, Clinical (Licence: FL SW25005) | |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2025-09-09 |