| NPI | 1629530563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178013492) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 163WC1500X Registered Nurse, Community Health (Licence: IL 041374632) | |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2024-01-03 |