| NPI | 1851450126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.000989) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 17694) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149-011-011) | |
| 1041S0200X Social Worker, School (Licence: IL 2006303) | |
| 225800000X Recreation Therapist (Licence: IL 22274) | |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2015-05-24 |