| NPI | 1114336377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health (Licence: PA 193200000x) | |
| 101YP2500X Counselor, Professional (Licence: TN LPC0000005974) | |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2023-03-30 |