| NPI | 1760944821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 14149) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A14149) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-25584) | |
| 101YP2500X Counselor, Professional (Licence: NC A14149) | |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2022-08-11 |