| NPI | 1972890143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.014232) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149-014232) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 27656) | |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2012-12-10 |