| NPI | 1821783788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 150109062) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2023-04-06 |
| Last Update Date | 2024-03-05 |