| NPI | 1801236484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 3206-A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 3201-A) |
| 225C00000X Rehabilitation Counselor (Licence: NC 3206-A) | |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2013-06-27 |