| NPI | 1528299187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 133NN1002X Nutritionist Nutrition, Education |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2023-08-24 |