| NPI | 1710486634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.030185) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 34838) |
| 101YM0800X Counselor, Mental Health (Licence: IL 947403) | |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2025-09-29 |