| NPI | 1932685732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 166.001243) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 34671) |
| 101YM0800X Counselor, Mental Health (Licence: IL 208.000530) | |
| Enumeration Date | 2018-07-14 |
| Last Update Date | 2021-04-15 |