| NPI | 1497265714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: AZ 13298) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: 91286) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: AZ 11839) | |
| 101YP2500X Counselor Professional (Licence: AZ 13298) | |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2021-06-02 |