| NPI | 1376669804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: ID LCPC-124) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: ID 124) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2024-02-12 |