| NPI | 1447581491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225C00000X Rehabilitation Counselor (Licence: IL 00084579) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 22271) |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2010-01-14 |