NPI | 1043720188 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180013893) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 25619) |
101YM0800X Counselor, Mental Health (Licence: IL 178.011041) | |
101YP2500X Counselor, Professional (Licence: IL 178.011041) | |
225800000X Recreation Therapist (Licence: IL 49087) | |
Enumeration Date | 2017-10-03 |
Last Update Date | 2023-04-04 |