| NPI | 1518115153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 538) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 1762) |
| 101YP2500X Counselor, Professional (Licence: NE 1058) | |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2013-05-09 |