| NPI | 1558600700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401018543) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 32127) |
| 106H00000X Marriage & Family Therapist (Licence: IL 166000882) | |
| 101YP2500X Counselor, Professional (Licence: IL 180.009296) | |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2020-11-13 |