| NPI | 1205003720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH15370) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AR 1403) |
| 101YM0800X Counselor, Mental Health (Licence: AR P1103014) | |
| 101YP1600X Counselor, Pastoral (Licence: NC 14152) | |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2021-07-20 |