| NPI | 1174002026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2259) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 5398) |
| 101YP2500X Counselor, Professional (Licence: NE 2545) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE P1538) | |
| Enumeration Date | 2018-08-11 |
| Last Update Date | 2020-02-19 |