| NPI | 1831535277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 178011979) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 178011979) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2024-02-14 |