| NPI | 1942926571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149026448) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IL 150108851) |
| Enumeration Date | 2022-10-14 |
| Last Update Date | 2024-03-29 |