| NPI | 1134427131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH9847) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701993981) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0718000199) | |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2024-07-01 |