| NPI | 1922795418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149027243) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.107002) |
| 101YM0800X Counselor, Mental Health (Licence: IL 150.107002) | |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2024-06-14 |