| NPI | 1093070336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC S17917) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00253400) |
| 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00568200) | |
| 101YM0800X Counselor, Mental Health (Licence: GA LPC010934) | |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2024-09-27 |