| NPI | 1225322860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2015-04-21 |