| NPI | 1487172904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 225C00000X Rehabilitation Counselor | |
| 101YM0800X Counselor Mental Health | |
| 251E00000X Home Health | |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2017-09-05 |