| NPI | 1689013203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.010331) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 29063) |
| 1041S0200X Social Worker, School (Licence: IL 2208622) | |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2013-12-23 |