| NPI | 1528577277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 6576125) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16192131) |
| 101YP2500X Counselor, Professional (Licence: IL 180.011635) | |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2021-07-28 |