| NPI | 1730103458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL LMHC-7626) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ CADAC 2090) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL FCB 5489) | |
| 101YM0800X Counselor, Mental Health (Licence: FL MH7626) | |
| 101YM0800X Counselor, Mental Health (Licence: AZ RLPC 15113) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2018-05-25 |