| NPI | 1356890107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional | |
| 103K00000X Behavior Analyst | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: GA 2004) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2016-09-21 |