| NPI | 1043844343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 24849) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 000865) |
| 101YM0800X Counselor, Mental Health (Licence: NC 7535) | |
| 101YP2500X Counselor, Professional (Licence: CT 001566) | |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2020-02-25 |