| NPI | 1831344548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC S7953) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA RA8620417) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 2313) | |
| 101YM0800X Counselor, Mental Health (Licence: NC 7953) | |
| Enumeration Date | 2008-11-21 |
| Last Update Date | 2021-04-26 |