| NPI | 1386989838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 9880) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 13481) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 0401-2) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 1078AD) | |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2023-04-06 |