| NPI | 1891572111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.016882) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 149.016882) |
| 101YM0800X Counselor, Mental Health (Licence: IL 149.016882) | |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2024-05-15 |