| NPI | 1306477476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TN TN-062) |
| 101YP2500X Counselor, Professional (Licence: IL CRC0024686) | |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2024-12-10 |