| NPI | 1235522350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NE 1146) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 1247) |
| 101YM0800X Counselor, Mental Health (Licence: NE 1738) | |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2024-07-16 |