| NPI | 1356767032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT BBH-LCPC-LIC-23768) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT LAC-LAC-LIC-3327) |
| 101YM0800X Counselor, Mental Health (Licence: MT BBH-LCPC-LIC-23768) | |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2022-07-21 |