| NPI | 1619644366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068.0134997) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH 1527) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VT 151.0134176) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LC8976) | |
| 101YM0800X Counselor, Mental Health (Licence: NH 4724) | |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2025-01-27 |