| NPI | 1750977872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180013399) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 25434) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 30226) | |
| 101YP2500X Counselor, Professional (Licence: IL 180013399) | |
| 101YP2500X Counselor, Professional (Licence: IL 178012270) | |
| Enumeration Date | 2020-12-13 |
| Last Update Date | 2023-10-06 |