| NPI | 1457834095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 103K00000X Behavior Analyst | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2019-06-05 |