NPI | 1750548723 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.006878) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 180.006878) |
101YM0800X Counselor, Mental Health (Licence: IL 180.006878) | |
Enumeration Date | 2008-05-19 |
Last Update Date | 2008-05-19 |