| NPI | 1730577974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 11189) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 11189) |
| 225C00000X Rehabilitation Counselor (Licence: NC 00117566) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 21561) | |
| 101Y00000X Counselor (Licence: NC 11189) | |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2019-11-07 |