| NPI | 1134250442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: LA 638) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA 5783) |
| 101Y00000X Counselor (Licence: IN 24710) | |
| 101Y00000X Counselor (Licence: IN 20674) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN C-4068) | |
| 101YM0800X Counselor, Mental Health (Licence: LA 767) | |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2007-07-08 |