| NPI | 1770185134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC A15820) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC A15820) |
| 101YM0800X Counselor, Mental Health (Licence: NC A15820) | |
| Enumeration Date | 2020-11-11 |
| Last Update Date | 2022-07-18 |