| NPI | 1215533997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C5529) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OR C5529) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR C5529) | |
| 101YM0800X Counselor, Mental Health (Licence: OR C5529) | |
| 102L00000X Psychoanalyst (Licence: OR C5529) | |
| 106H00000X Marriage & Family Therapist (Licence: OR C5529) | |
| Enumeration Date | 2020-12-08 |
| Last Update Date | 2023-10-30 |