| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
|
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional |
| 106H00000X Marriage & Family Therapist |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| 261QM0850X Clinic/Center Adult Mental Health |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| 261QM1300X Clinic/Center Multi-Specialty |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| 324500000X Substance Abuse Rehabilitation Facility |
| 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children |
| Enumeration Date | 2017-11-11 |
| Last Update Date | 2017-11-11 |