| NPI | 1386728319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701005230) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 889) |
| 101YP2500X Counselor, Professional (Licence: NC 4537) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2025-03-24 |