| NPI | 1174969992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional (Licence: MD LC5466) | |
| 101YP2500X Counselor, Professional (Licence: DC PRC200001447) | |
| 101YP2500X Counselor, Professional (Licence: VA 0701011508) | |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2022-07-14 |