| NPI | 1528485034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 319) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 492) |
| 101YM0800X Counselor, Mental Health (Licence: NE 2322) | |
| 106H00000X Marriage & Family Therapist (Licence: NE 103) | |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2016-10-22 |