| NPI | 1437251980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149007810) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 16488) |
| 1041S0200X Social Worker, School (Licence: IL 1533934) | |
| Enumeration Date | 2006-09-04 |
| Last Update Date | 2019-11-15 |