| NPI | 1437654233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180013182) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.012322) |
| 225C00000X Rehabilitation Counselor (Licence: IL 00145643) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 32972) | |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2022-11-23 |