| NPI | 1568491199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180005747) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 180005747) |
| 101YM0800X Counselor, Mental Health (Licence: IL 180005747) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2009-08-06 |