| NPI | 1457797987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180008636) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 180.008636) |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2019-08-14 |