| NPI | 1346572757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 149.013808) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.013808) |
| Enumeration Date | 2010-02-10 |
| Last Update Date | 2019-06-04 |