| NPI | 1598081226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.003914) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15641-132) |
| 101YP2500X Counselor, Professional (Licence: WI 4378-125) | |
| 101YP2500X Counselor, Professional (Licence: MI 6401012257) | |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2021-12-19 |