| NPI | 1306284807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: FL 5024) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL 51023) |
| 102L00000X Psychoanalyst | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2013-06-06 |