| NPI | 1730656216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C5888) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: HI 1960-17) |
| 101YM0800X Counselor, Mental Health (Licence: CO 0014984) | |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2023-05-10 |