| NPI | 1588093413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12879) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL 100) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 5033) | |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2024-02-12 |