| NPI | 1134739337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 5227) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL Adc-011071-2015) |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2022-11-21 |