| NPI | 1154911063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YP1600X Counselor, Pastoral | |
| 101YP2500X Counselor, Professional | |
| 103T00000X Psychologist | |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2021-01-25 |
| Last Update Date | 2022-07-22 |