NPI | 1982758405 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 17699) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180-004368) |
Enumeration Date | 2007-01-22 |
Last Update Date | 2007-07-08 |