| NPI | 1912018458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 351) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 180001518) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2025-09-11 |