| NPI | 1336962711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 149027596) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149027596) |
| Enumeration Date | 2024-11-05 |
| Last Update Date | 2025-05-28 |