| NPI | 1245840230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AK 169890) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AK 4630) |
| 101Y00000X Counselor (Licence: MT BBH-LCPC-LIC-50086) | |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2023-09-08 |