| NPI | 1013325018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CT 3281) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: 3281) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CT 001080) | |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2023-10-18 |