| NPI | 1912550773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: IL 149022661) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 150103770) |
| 104100000X Social Worker (Licence: IL 150103770) | |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2023-01-10 |