| NPI | 1649790213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 32101) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DC 508462) |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2024-02-22 |