| NPI | 1124568092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 12814) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 24315) |
| 101YM0800X Counselor, Mental Health (Licence: NC 12814) | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2023-06-30 |