| NPI | 1427523356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180-012576) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 178012651) |
| 101YP2500X Counselor, Professional (Licence: IL 178012651) | |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2020-02-19 |