| NPI | 1427235274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180006736) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 13056) |
| 101YM0800X Counselor, Mental Health (Licence: IL 75018) | |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2011-12-21 |