| NPI | 1134395262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701003154) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD 1226) |
| 101YM0800X Counselor, Mental Health (Licence: VA 0701003154) | |
| 101YM0800X Counselor, Mental Health (Licence: MD LC 0898) | |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2008-05-08 |