| NPI | 1184211641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MA 222790) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 222790) |
| 101YM0800X Counselor, Mental Health (Licence: MA 222790) | |
| 101YP2500X Counselor, Professional (Licence: MA 222790) | |
| 101YS0200X Counselor, School (Licence: MA 222790) | |
| Enumeration Date | 2020-12-30 |
| Last Update Date | 2020-12-30 |