| NPI | 1114291499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL MH12221) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL MH12221) |
| 101YM0800X Counselor, Mental Health (Licence: FL MH12221) | |
| 101YP2500X Counselor, Professional (Licence: OK 5870) | |
| 101YP2500X Counselor, Professional (Licence: FL MH 12221) | |
| Enumeration Date | 2012-03-03 |
| Last Update Date | 2020-01-08 |