| NPI | 1730732975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.028276) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 150.109277) |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2025-09-10 |