| NPI | 1225581747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: ND 731-9-15-12-259) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: ND 1766) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2024-07-24 |