| NPI | 1457582405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2012012906) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 178.005312) |
| 101YP2500X Counselor, Professional (Licence: IL 180.007401) | |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2022-08-09 |