| NPI | 1467743930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 8665) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 3394) |
| 101YM0800X Counselor, Mental Health (Licence: NC A8665) | |
| 101YM0800X Counselor, Mental Health (Licence: NC 8665) | |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2023-01-17 |