| NPI | 1073746491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 1386) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 205190) |
| 101YM0800X Counselor, Mental Health (Licence: NC 8169) | |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2024-09-11 |