| NPI | 1750551222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TN 2312) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TN 2312) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: TN 2312) | |
| 101YP2500X Counselor Professional (Licence: TN 2312) | |
| 101YS0200X Counselor School | |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2010-06-03 |