| NPI | 1083905426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180009998) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178006792) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 30051) | |
| 101Y00000X Counselor (Licence: IL 180009998) | |
| 101YM0800X Counselor, Mental Health (Licence: IL 180009998) | |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2016-11-09 |