| NPI | 1558537985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: LA 4451) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL MH8882) |
| 225C00000X Rehabilitation Counselor (Licence: LA 47371) | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: FL 4221) | |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2010-12-03 |