| NPI | 1447767637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 15600) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 100119) |
| 101YP2500X Counselor, Professional (Licence: FL 15600) | |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2024-01-25 |