| NPI | 1619602620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.027979) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 150.107254) |
| Enumeration Date | 2022-07-22 |
| Last Update Date | 2025-08-15 |