| NPI | 1225584626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 12720) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 22878) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC CSAC-14881) | |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2022-01-22 |