| NPI | 1952686081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: IL 22902) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: IL 60432) |
| 101YM0800X Counselor Mental Health (Licence: IL 22902) | |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2017-02-07 |