| NPI | 1013074913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180004804) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 2461) |
| 106H00000X Marriage & Family Therapist (Licence: IL 166000225) | |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2013-02-15 |