NPI | 1942345335 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180001462) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: WI 3948125) |
101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WI 394825) | |
101YM0800X Counselor Mental Health (Licence: WI 3948125) | |
101YM0800X Counselor Mental Health (Licence: IL 180001462) | |
Enumeration Date | 2007-02-21 |
Last Update Date | 2015-03-01 |