| NPI | 1518355106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 8958) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC LPCA A8958) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS 3246) | |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2022-07-21 |