| NPI | 1659537009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH4842) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH-4842) |
| 103K00000X Behavior Analyst (Licence: FL MH4842) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA CEAP/SAP 0044403) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CEAP0044403) | |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2012-05-29 |