| NPI | 1104094978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC S6959) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 232) |
| 101YP2500X Counselor, Professional (Licence: DC PRC14509) | |
| 101YP2500X Counselor, Professional (Licence: VA 0701006133) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 24951-A) | |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2025-03-07 |