| NPI | 1437663010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180010868) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: IL 32285) |
| 101YS0200X Counselor School (Licence: IL 1876530) | |
| Enumeration Date | 2017-11-19 |
| Last Update Date | 2018-07-24 |