| NPI | 1750719142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: 149.010943) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 25430) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149010943) | |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2019-12-03 |