| NPI | 1770940496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 12059) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCASA-22363) |
| 101YM0800X Counselor, Mental Health (Licence: NC 12059) | |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2023-03-07 |