| NPI | 1780187518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: 13822) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401018441) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-24448) | |
| 101YP2500X Counselor, Professional (Licence: NC 13822) | |
| Enumeration Date | 2018-03-18 |
| Last Update Date | 2024-01-24 |