| NPI | 1881265262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.023181) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 33516) |
| 101YM0800X Counselor, Mental Health (Licence: IL 149.023181) | |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2021-08-09 |