| NPI | 1861516510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166000623) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 166000623) |
| 1041C0700X Social Worker, Clinical (Licence: IL 166000623) | |
| 101Y00000X Counselor (Licence: IL 166000623) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 166000623) | |
| 101YP2500X Counselor, Professional (Licence: IL 180005413) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 23223) | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2025-09-17 |