| NPI | 1598114035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LCPC-9921) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ID 10300) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ID ACADC11536) | |
| 101YP2500X Counselor, Professional (Licence: ID LPC6286) | |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2023-11-08 |