| NPI | 1326201120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 7003) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 20023) |
| 101YM0800X Counselor, Mental Health (Licence: NC 7003) | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2024-09-25 |