| NPI | 1659588150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 158) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 759) |
| 101YP2500X Counselor, Professional (Licence: NE 1096) | |
| 101YM0800X Counselor, Mental Health (Licence: NE 1850) | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2013-12-20 |