| NPI | 1821390972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: IL 150105253) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA A2161868) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: IL 33201) | |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2023-07-20 |