| NPI | 1548416738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 1066) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CO 6699) |
| 101YM0800X Counselor Mental Health (Licence: NE 3396) | |
| 101YP2500X Counselor Professional (Licence: NE 1719) | |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2013-02-26 |