| NPI | 1114166444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2998) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE P-1472) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 1273) | |
| 101YM0800X Counselor, Mental Health (Licence: NE 3680) | |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2022-06-29 |