| NPI | 1558539619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0127551) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 0122491) |
| 101YM0800X Counselor, Mental Health (Licence: NM 0111261) | |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2011-03-27 |