| NPI | 1275945123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL A-4215-0001-A) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 27122) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: 016271) | |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2016-08-02 |