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 |