| NPI | 1780806414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL MH9407) |
| Additional Taxonomies | 251S00000X |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 2651) | |
| 251B00000X Case Management | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2019-08-26 |