| NPI | 1679347181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 3285) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A16893) |
| Enumeration Date | 2023-11-14 |
| Last Update Date | 2023-11-14 |