| NPI | 1114338613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: HI MHC- 392) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: HI 1903-16) |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2016-09-07 |