| NPI | 1114088291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT 1106 LCPC) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0120871) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 0163871) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2016-06-02 |