| NPI | 1316232085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NE P-976) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 9326) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NE P-976) | |
| 101YM0800X Counselor Mental Health (Licence: NE 2207) | |
| 101YM0800X Counselor Mental Health (Licence: NE 9326) | |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2022-02-22 |