NPI | 1861516510 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 23223) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180005413) |
106H00000X Marriage & Family Therapist (Licence: IL 166000623) | |
Enumeration Date | 2007-03-19 |
Last Update Date | 2007-07-08 |