| NPI | 1154695047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 180012544) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: IL 00275446) |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2024-11-13 |