| NPI | 1417249244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178.008599) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 30948) |
| 101YM0800X Counselor, Mental Health (Licence: IL 178.008599) | |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2020-04-08 |