| NPI | 1992344147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178.015574) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 35778) |
| 101YP2500X Counselor, Professional (Licence: IL 180.014117) | |
| Enumeration Date | 2020-01-04 |
| Last Update Date | 2022-01-04 |