| NPI | 1730511759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH22361) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: FL MH22361) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor Mental Health | |
| 101YP2500X Counselor Professional (Licence: MH22361) | |
| 101YS0200X Counselor School (Licence: FL MH22361) | |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2023-10-27 |