NPI | 1063838019 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.010785) |
Additional Taxonomies | 101Y00000X Counselor (Licence: IL 180.010785) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 180.010785) | |
101YP2500X Counselor, Professional (Licence: IL 180.010785) | |
Enumeration Date | 2014-03-14 |
Last Update Date | 2019-10-10 |