| NPI | 1770898165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID 4579) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID 4579) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ID 4579) | |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2010-08-17 |