| NPI | 1417079997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA 504101815) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2021-08-17 |