| NPI | 1275167298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 35201) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178-015367) |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2020-03-13 |