| NPI | 1184166944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 13337) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-22922) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 22922) | |
| 251S00000X (Licence: NC 20274) | |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2023-06-23 |