| NPI | 1396084018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OR 12-12-02) |
| Enumeration Date | 2013-02-01 |
| Last Update Date | 2013-09-06 |