| NPI | 1245828730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL MCAP100859) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL CMHP100029) |
| 101YM0800X Counselor, Mental Health (Licence: FL IMH20205) | |
| 101YP1600X Counselor, Pastoral | |
| Enumeration Date | 2021-01-09 |
| Last Update Date | 2023-01-31 |