| NPI | 1427507169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 149.019689) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 150.101629) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2019-08-21 |