| NPI | 1063745578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OR 12-03-26) |
| 1041C0700X Social Worker Clinical (Licence: OR L6534) | |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2022-05-25 |