| NPI | 1710472378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149009031) |
| Additional Taxonomies | 1041S0200X Social Worker, School |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 31244) | |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2018-06-26 |