| NPI | 1023319456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 180-002216) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 180-002216) |
| 101YM0800X Counselor, Mental Health (Licence: IL 180-002216) | |
| 101YP2500X Counselor, Professional (Licence: IL 180-002216) | |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2010-11-17 |