NPI | 1588011381 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 180011807) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 12-039) |
101YP2500X Counselor, Professional (Licence: NM 0158111) | |
101YP2500X Counselor, Professional (Licence: NM 0164001) | |
Enumeration Date | 2016-05-21 |
Last Update Date | 2021-02-24 |