| NPI | 1366077687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.2203011) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS23754) |
| 101YP2500X Counselor, Professional (Licence: VA 0704006752) | |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2023-08-09 |