| 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 |