| NPI | 1619682606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 7592) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SC 8634) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC 8634) | |
| 106H00000X Marriage & Family Therapist (Licence: VI 8634) | |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2023-01-16 |