| 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 |