NPI | 1639698772 |
---|---|
Former Name | JACQUELINE ZARTLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180012578) |
Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178012485) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 178012485) | |
101YM0800X Counselor, Mental Health (Licence: IL 178012485) | |
101YP2500X Counselor, Professional (Licence: IL 178012485) | |
Enumeration Date | 2017-09-10 |
Last Update Date | 2021-12-03 |