| NPI | 1215446224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 0074431) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 225C00000X Rehabilitation Counselor (Licence: IL 00115880) | |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2022-07-21 |