| NPI | 1225345937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH10373) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 90988) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 4205) | |
| 101YM0800X Counselor, Mental Health (Licence: MI 6401009158) | |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2010-09-02 |