| NPI | 1285036129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 2033) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 2362) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NE P-1388) | |
| 101YM0800X Counselor Mental Health (Licence: NE 4940) | |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2021-02-02 |