| NPI | 1821240649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID #3587) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT 1095) |
| 101YM0800X Counselor, Mental Health (Licence: WA LH00009128) | |
| 101YP2500X Counselor, Professional (Licence: MT 222) | |
| Enumeration Date | 2008-10-13 |
| Last Update Date | 2021-04-19 |