| NPI | 1477715795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701005233) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL CAP 4021) |
| 101YM0800X Counselor, Mental Health (Licence: FL MH 8923) | |
| 101YP2500X Counselor, Professional (Licence: NC NCC) | |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2015-09-02 |