| NPI | 1093254310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 13696) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 22239) |
| 101YP2500X Counselor, Professional (Licence: NC 13696) | |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2022-09-29 |