| NPI | 1841512274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: IL 180.005609) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IL 180.005609) |
| 101YP2500X Counselor Professional (Licence: IL 180.005609) | |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2010-02-26 |