| NPI | 1578186185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149-022830) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 150-103995) |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2022-05-28 |