| NPI | 1689328544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.105016) |
| 101YM0800X Counselor, Mental Health (Licence: IL 149028216) | |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2024-12-14 |