| NPI | 1356076996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701011625) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0701011625) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0701011625) | |
| Enumeration Date | 2022-07-18 |
| Last Update Date | 2022-07-18 |