| NPI | 1154845923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 34386) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.012465) |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2022-07-21 |