| NPI | 1144367194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 9347) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL 50206) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 3669) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2008-02-20 |