| NPI | 1124649835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR R7338) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61101797) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2020-05-04 |
| Last Update Date | 2023-09-26 |