| NPI | 1649743717 |
|---|---|
| Former Name | ILANA TERES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 102400) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 09931945) |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2025-09-02 |