| NPI | 1609266873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 1453) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NE 1010) |
| 101YM0800X Counselor Mental Health (Licence: NE 2212) | |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2023-09-08 |