| NPI | 1790367746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 297211) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 38328) |
| 104100000X Social Worker (Licence: IL 150112934) | |
| 101Y00000X Counselor | |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2025-03-14 |