| NPI | 1407737273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 34884) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 36042) |
| 101YM0800X Counselor, Mental Health (Licence: IL 178.015052) | |
| Enumeration Date | 2025-09-09 |
| Last Update Date | 2025-09-09 |