| NPI | 1528536570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149019218) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 149019218) |
| 101Y00000X Counselor | |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2026-04-10 |