| NPI | 1356896153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-25080) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 12426) |
| 101YM0800X Counselor, Mental Health (Licence: NC A12426) | |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2023-11-28 |