| NPI | 1598196628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 30643) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 29680) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 175T00000X Peer Specialist (Licence: IL 34964) | |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2021-06-15 |