| NPI | 1932422441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.000146) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL CAADC (certification) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL MAC (certification)) | |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2010-03-11 |