| NPI | 1326489519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 097444) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional (Licence: WA LH60741565) | |
| 101YP2500X Counselor, Professional (Licence: PA PC006877) | |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2022-01-14 |