| NPI | 1730426727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 9888) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 3076) |
| 101YM0800X Counselor, Mental Health (Licence: NC A9888) | |
| Enumeration Date | 2013-01-10 |
| Last Update Date | 2021-02-21 |