| NPI | 1093187411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 2050) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NH 2050) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH 2050) | |
| Enumeration Date | 2015-10-25 |
| Last Update Date | 2022-02-27 |