| NPI | 1134419260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180006154) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 24080) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2024-07-24 |