| NPI | 1326288309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1446) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 895) |
| 101YM0800X Counselor, Mental Health (Licence: NE 3861) | |
| 101YP2500X Counselor, Professional (Licence: NE 1914) | |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2022-01-14 |