| NPI | 1417558115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101Y00000X Counselor | |
| 104100000X Social Worker | |
| Enumeration Date | 2020-11-08 |
| Last Update Date | 2020-11-08 |