| NPI | 1407567365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.027763) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 150106065) |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2024-09-25 |