| NPI | 1437254307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 3643) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 308) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 671) | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2022-02-21 |