| NPI | 1245010719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.02015) |
| Enumeration Date | 2023-10-03 |
| Last Update Date | 2024-06-26 |