| NPI | 1881820405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180007287) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LISAC-11049) |
| 101YP2500X Counselor, Professional (Licence: AZ LPC-11604) | |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2010-04-12 |