| NPI | 1821424706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 972) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CT 3129) |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2022-04-27 |