| NPI | 1043469646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MI 6401006060) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MI 6401006060) |
| 101YP2500X Counselor Professional (Licence: MI 6401006060) | |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2024-07-23 |