| NPI | 1699027961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 9733) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 3242) |
| 101YP2500X Counselor, Professional (Licence: NC 9733) | |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2024-08-23 |