| NPI | 1144489261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15137-132) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: 15477-135) |
| 101YM0800X Counselor, Mental Health (Licence: WI 638-226) | |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2022-07-21 |