| NPI | 1245648708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.005444) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 180.005444) | |
| 101YP1600X Counselor, Pastoral (Licence: IL 180.005444) | |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2017-02-08 |