| NPI | 1588098461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NE 10060) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 1163) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE P-1160) | |
| 101YM0800X Counselor, Mental Health (Licence: NE 1556) | |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2023-08-28 |