| NPI | 1245662014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MD LCA2961) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NJ 37LC00234600) | |
| 101YM0800X Counselor Mental Health (Licence: LCA2961) | |
| 101YP1600X Counselor Pastoral | |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2025-02-18 |