| NPI | 1992938682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-007567) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 14061) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149-008547) | |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2021-12-23 |