| NPI | 1285820704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 251S00000X Community/Behavioral Health | |
| 302R00000X Health Maintenance Organization | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 101Y00000X Counselor | |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2016-11-25 |