| NPI | 1396018131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180008756) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178-007556) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15854-132) | |
| 101YP2500X Counselor, Professional (Licence: WI 5190-125) | |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2016-11-14 |