| NPI | 1447687595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 283Q00000X Psychiatric Hospital | |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2013-10-03 |