NPI | 1992076061 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.016361) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
171400000X Health & Wellness Coach | |
171M00000X Case Manager/Care Coordinator | |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
Enumeration Date | 2012-01-22 |
Last Update Date | 2023-07-06 |