| NPI | 1801135330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 18009896) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180009896) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 33024) | |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2017-02-24 |