| NPI | 1770257305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.027858) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 1910524800) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2021-08-06 |
| Last Update Date | 2025-07-21 |