| NPI | 1003842568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NE 809) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NE 960) |
| 101YM0800X Counselor Mental Health (Licence: NE 809) | |
| 101YM0800X Counselor Mental Health (Licence: NE 7780) | |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2021-05-17 |