| NPI | 1750548723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IL 180.006878) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: IL 180.006878) |
| 101YP2500X Counselor Professional (Licence: IL 180.006878) | |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2025-02-08 |