NPI | 1962148916 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149027180) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 150.104959) |
Enumeration Date | 2022-05-11 |
Last Update Date | 2024-08-12 |