| NPI | 1316101751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH2931) |
| Additional Taxonomies | 251S00000X (Licence: FL MH2931) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL CAP2285) | |
| 133V00000X Dietitian, Registered (Licence: FL 709826) | |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2018-04-24 |