| NPI | 1760053243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YP1600X Counselor Pastoral | |
| 101YS0200X Counselor School | |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2023-07-17 |