| NPI | 1013259456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16075-131) |
| 101YP2500X Counselor, Professional (Licence: WI 6497-125) | |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2025-01-27 |