| NPI | 1811357825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ 17643) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180009802) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 180009802) | |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2021-08-31 |