| NPI | 1578960779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0169661) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 0165411) |
| 101YM0800X Counselor, Mental Health (Licence: NM CCMH0191461) | |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2018-12-05 |