| NPI | 1821440058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0013448) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPC.0013448) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2022-07-21 |