| NPI | 1467523118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 14900835) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 14900835) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2024-10-25 |