| NPI | 1598042467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1240) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NE 2125) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 1256) | |
| Enumeration Date | 2011-11-07 |
| Last Update Date | 2024-04-17 |