| NPI | 1639236169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 1305) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180-001364) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2025-09-11 |