| NPI | 1689223638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH16733) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 4727) |
| 101YM0800X Counselor, Mental Health (Licence: DE PC-0011267) | |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2022-09-19 |