| NPI | 1669522116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701005844) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 1551) |
| 101YP2500X Counselor, Professional (Licence: NC 6638) | |
| 101YS0200X Counselor, School (Licence: NC 3036) | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2019-07-12 |