| NPI | 1669751962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ND 699-10-1-11-238) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1650) |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2019-01-08 |