| NPI | 1609331750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 25243) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A14634) |
| Enumeration Date | 2019-02-03 |
| Last Update Date | 2024-01-26 |