| NPI | 1457600983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 8854) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-22587) |
| 101YP2500X Counselor, Professional (Licence: NC 8854) | |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2023-12-14 |