| NPI | 1366072886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.024475) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker (Licence: IL 150.105715) | |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2022-04-18 |