| NPI | 1093168759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16191-132) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 17685-30) |
| 101YM0800X Counselor, Mental Health (Licence: WI 3496-226) | |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2022-11-25 |