| NPI | 1336657402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701007399) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0812000773) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0710103135) | |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2018-03-17 |