| NPI | 1942995675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180.015030) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IL 180015030) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: IL 180.015030) | |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2025-04-23 |