| NPI | 1427835909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 149.041315) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 149.041315) |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2026-07-27 |