| NPI | 1841388006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH10337) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 001880) |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: FL RN9262416) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2013-07-01 |