| NPI | 1215205273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101Y00000X Counselor | |
| Enumeration Date | 2011-12-06 |
| Last Update Date | 2015-06-26 |