| NPI | 1396297271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 7124) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 5033) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2021-05-10 |