| NPI | 1790299295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-22433) |
| 101YM0800X Counselor, Mental Health (Licence: NC A13369) | |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2020-03-20 |