| NPI | 1275184335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MT 57558) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MT 49337) |
| 101YM0800X Counselor Mental Health (Licence: MT 44214) | |
| 104100000X Social Worker (Licence: MT 57395) | |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2022-12-06 |