| NPI | 1366676199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 1453) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: HI MHC194) |
| 101YP2500X Counselor, Professional (Licence: CA 1453) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: HI CSAC 1454-09) | |
| 101YM0800X Counselor, Mental Health (Licence: FL LMHC 1298) | |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2023-02-13 |