| NPI | 1760667844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH5706) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 2128L) |
| 171M00000X Case Manager/Care Coordinator (Licence: FL MH5706) | |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2013-10-10 |