| NPI | 1356096424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.014288) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 32703) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2022-02-17 |
| Last Update Date | 2024-01-31 |