| NPI | 1558407403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.27644) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 12267) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL A-5029-0006-A) | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2025-08-07 |