| NPI | 1952870453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149-021112) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IL 150-102941) |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2022-05-28 |