| NPI | 1437634284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: TN 6581) |
| 101YP2500X Counselor Professional (Licence: TN 6581) | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2024-04-25 |