| NPI | 1275657132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 6103193) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-2934) |
| 101YM0800X Counselor, Mental Health (Licence: NC S5220) | |
| Enumeration Date | 2007-03-18 |
| Last Update Date | 2023-08-02 |