| NPI | 1699328021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MT3248) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2019-07-24 |