| NPI | 1679952501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC LCSW-C011026) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC LCAS-21193) |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2023-10-26 |