| NPI | 1083181382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A19697) |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2024-02-26 |