| NPI | 1063048114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2100) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 1316) |
| 101YM0800X Counselor, Mental Health (Licence: NE 5030) | |
| Enumeration Date | 2020-03-20 |
| Last Update Date | 2020-03-20 |