| NPI | 1467980995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC C012294) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-23778) |
| 104100000X Social Worker (Licence: NC P011423) | |
| Enumeration Date | 2017-05-29 |
| Last Update Date | 2022-08-17 |