| NPI | 1396482345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VT 151.0134141) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VT 068.0134628) |
| Enumeration Date | 2022-05-19 |
| Last Update Date | 2022-06-09 |