| NPI | 1265674493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC a15130) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: 24338) |
| 251E00000X Home Health | |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2022-08-31 |