| NPI | 1326104001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH10712) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39001980A) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN LCAC 870056A) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL CAP 5276) | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2015-12-18 |