| NPI | 1891002242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180.007294) |
| Additional Taxonomies | 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: IL 180007294) |
| 103TP2701X Psychologist Group Psychotherapy (Licence: IL 180007294) | |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2022-10-13 |