| NPI | 1184985020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: LA 4611) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: LA 4611) |
| 101YP1600X Counselor Pastoral | |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2012-06-07 |