| NPI | 1912709379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 149.020391) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149020391) |
| Enumeration Date | 2025-03-26 |
| Last Update Date | 2025-04-16 |