| NPI | 1265713945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068.0083833) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VT 151.0124491) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VT 000551) | |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2021-10-09 |