| NPI | 1073916177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: HI 1723-13) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: HI CL1330) |
| 101Y00000X Counselor (Licence: HI 1723-13) | |
| 101YM0800X Counselor, Mental Health (Licence: HI 1723-13) | |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2022-03-21 |