| NPI | 1407872229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 005516) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 537) |
| 101YM0800X Counselor, Mental Health (Licence: NE 2297) | |
| 101YP2500X Counselor, Professional (Licence: NE 1276) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2015-02-16 |