| NPI | 1073082962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0718000319) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0710101660) |
| 101YM0800X Counselor, Mental Health (Licence: VA 0718000319) | |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2024-03-26 |