| NPI | 1447923339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: SD LAC13031577) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: SD LPC20268) |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2021-07-27 |