| NPI | 1821164716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 030654 (CEAP)) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 15147) |
| 101YP2500X Counselor, Professional (Licence: IL 180-003602) | |
| 106H00000X Marriage & Family Therapist (Licence: IL 166-000423) | |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2007-07-08 |