| NPI | 1114465523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional (Licence: FL MH16201) | |
| 251S00000X | |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2020-03-03 |