| NPI | 1043868680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: DE PC-0000898) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: DE 1720) |
| 101YP2500X Counselor Professional | |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2024-02-07 |