| NPI | 1821737669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.026914) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 150.105469) |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2024-10-23 |