| NPI | 1497052450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 180.007343) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 26370) |
| 101YP2500X Counselor, Professional (Licence: IL 180.007343) | |
| Enumeration Date | 2011-02-26 |
| Last Update Date | 2021-05-07 |