| NPI | 1912426677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.018300) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NH 2230) |
| 1041C0700X Social Worker, Clinical | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 26605) | |
| 1041C0700X Social Worker, Clinical (Licence: TN 7499) | |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2023-02-23 |