| NPI | 1447514518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149018901) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 28330) |
| 225A00000X Music Therapist (Licence: IL 06614) | |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2022-07-21 |