| NPI | 1649700493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MT 43930) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT LAC-37183) |
| 1041C0700X Social Worker, Clinical (Licence: MT SWLC-30348) | |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2022-12-19 |