| NPI | 1790376416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180013380) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 180.013380) |
| 163W00000X Registered Nurse (Licence: IL 041.219702) | |
| Enumeration Date | 2021-01-27 |
| Last Update Date | 2025-08-08 |