| NPI | 1710585757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC 17035) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 26372) |
| 101YM0800X Counselor Mental Health (Licence: NC A17035) | |
| 101YP2500X Counselor Professional | |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2024-02-29 |