| NPI | 1952055469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.021738) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 149021738) |
| Enumeration Date | 2022-02-04 |
| Last Update Date | 2024-05-11 |