| NPI | 1093172470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL ADC-000245-2014) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CMHP100035) |
| 101YM0800X Counselor, Mental Health (Licence: FL CMHP100035) | |
| 101YP2500X Counselor, Professional (Licence: FL CMHP100035) | |
| 405300000X Prevention Professional (Licence: FL 803868) | |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2021-06-10 |