| NPI | 1205369352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 6736) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 101Y00000X Counselor (Licence: LA 6736) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 6736) | |
| 101YM0800X Counselor, Mental Health (Licence: LA 6736) | |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2021-05-06 |