| NPI | 1477646727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 33-036) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 1927) |
| 101YP2500X Counselor, Professional (Licence: WI 2532-125) | |
| Enumeration Date | 2006-10-01 |
| Last Update Date | 2016-08-29 |