| NPI | 1487165197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149020642) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 150102128) |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2023-08-08 |