| NPI | 1235977257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178.019298) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 31854) |
| 225C00000X Rehabilitation Counselor (Licence: IL 396023) | |
| Enumeration Date | 2024-07-15 |
| Last Update Date | 2024-07-15 |