| NPI | 1073997268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AL 3289) |
| 101YP2500X Counselor, Professional (Licence: AL 3289) | |
| 101Y00000X Counselor (Licence: AL 3289) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AL 3289) | |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2024-01-17 |