| NPI | 1659438430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180-001057) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IL 180-001057) |
| 101YS0200X Counselor School (Licence: IL 2186312) | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: IL 25778) | |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2015-04-21 |