| NPI | 1770079154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 163065) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: FL CAP0100429) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2023-05-08 |