| NPI | 1437341260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD LC0903) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: DC ADD179) |
| 101YM0800X Counselor Mental Health (Licence: DC PRC1018) | |
| 101YM0800X Counselor Mental Health (Licence: MD LC0903) | |
| 101YP2500X Counselor Professional (Licence: DC PRC1018) | |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2007-08-15 |