| NPI | 1417358524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C5377) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C5377) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YP2500X Counselor, Professional (Licence: NV CP5234-R) | |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2024-06-08 |