| NPI | 1487012340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 0680125284) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VT 000684) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VT 1510125895) | |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2024-01-18 |