| NPI | 1215444906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 180012359) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 33720) |
| 101YP2500X Counselor, Professional (Licence: IL 178011972) | |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2020-03-31 |