| NPI | 1821407073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A10358) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 22225) |
| 225C00000X Rehabilitation Counselor (Licence: NC 00117659) | |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2018-01-24 |