| NPI | 1336555937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MD LC6876) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC6876) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD LC6876) | |
| 101YM0800X Counselor, Mental Health (Licence: MD LC6876) | |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2016-02-02 |