| NPI | 1285884635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.014574) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 28920) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 29747) | |
| 146L00000X Emergency Medical Technician, Paramedic (Licence: IL 000519553) | |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2014-08-07 |