| NPI | 1598818544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 2967) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL CAP 3205) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AL 1114) | |
| 101YM0800X Counselor, Mental Health (Licence: FL MH 10898) | |
| Enumeration Date | 2007-01-20 |
| Last Update Date | 2011-10-04 |