| NPI | 1346746336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 6035-125) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15980) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2023-08-01 |