| NPI | 1578666194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 263) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 1165) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 184) | |
| 101YP2500X Counselor, Professional (Licence: NE 683) | |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2009-01-23 |