| NPI | 1881574101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 37240) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 195000) |
| 175T00000X Peer Specialist | |
| 246Y00000X Spec/Tech, Health Info (Licence: MI NA) | |
| Enumeration Date | 2025-09-05 |
| Last Update Date | 2025-09-05 |