| NPI | 1306303508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AL ALC03215) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AL ALC03215) |
| 101YM0800X Counselor, Mental Health (Licence: AL ALC03215) | |
| 251B00000X Case Management (Licence: AL ALC03215) | |
| Enumeration Date | 2019-02-23 |
| Last Update Date | 2024-12-11 |