| NPI | 1801432844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ND 1065-5-1-20-493) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1641) |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2022-10-13 |