| NPI | 1427287093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 2358) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TN 2358) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TN 2358) | |
| 101YM0800X Counselor, Mental Health (Licence: TN 2358) | |
| Enumeration Date | 2009-07-04 |
| Last Update Date | 2009-07-04 |