| NPI | 1043618093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2993) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 1373) |
| 101YP2500X Counselor, Professional (Licence: SD LPC21022) | |
| 101YP2500X Counselor, Professional (Licence: NE 2736) | |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2025-08-19 |