| NPI | 1821188186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 4224) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 149-004216) |
| Enumeration Date | 2006-10-14 |
| Last Update Date | 2007-07-08 |