| NPI | 1699159061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178.012767) |
| Additional Taxonomies | 104100000X Social Worker |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2022-02-16 |