| NPI | 1225729957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC A14201) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 24385) |
| 101YM0800X Counselor Mental Health (Licence: NC A14201) | |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2023-05-23 |