| NPI | 1609016831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE P376) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 7860) |
| Enumeration Date | 2009-02-27 |
| Last Update Date | 2019-12-09 |