| NPI | 1124238357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 192683) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA RS7303) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2025-06-12 |