| NPI | 1174975650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 4891) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NE 1191) |
| 101YP2500X Counselor Professional (Licence: NE 2338) | |
| 101YM0800X Counselor Mental Health (Licence: NE 1688) | |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2017-01-23 |