| NPI | 1477165025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IA 105720) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: IA T20034) |
| 225C00000X Rehabilitation Counselor (Licence: IA 435918) | |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2024-04-22 |