| NPI | 1003319781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.013193) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 18457-130) |
| 101YP2500X Counselor, Professional (Licence: IL 178.013882) | |
| 101YP2500X Counselor, Professional (Licence: WI 3859-226) | |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2022-06-15 |