| NPI | 1366186785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 3080) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MS AD18-019L) |
| 101YM0800X Counselor, Mental Health (Licence: 1625790) | |
| Enumeration Date | 2022-04-21 |
| Last Update Date | 2024-02-26 |