| NPI | 1174858971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MD LCA392) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LC2332) |
| 101YM0800X Counselor Mental Health (Licence: MD LC2332) | |
| 101YP2500X Counselor Professional (Licence: MD LC2332) | |
| Enumeration Date | 2009-10-12 |
| Last Update Date | 2009-10-12 |