| NPI | 1225497613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.014331) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 35489) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional (Licence: IL 178.015165) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2022-04-06 |