| NPI | 1659998201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NH 2666) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: VT 151.0129414) |
| 101YM0800X Counselor Mental Health (Licence: VT 068.0132901) | |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2023-08-18 |