| NPI | 1467503508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 21668) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180004530) |
| 106H00000X Marriage & Family Therapist (Licence: IL 180004530) | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2025-09-11 |