| NPI | 1841646890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X (Licence: FL MH14790) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL MH14790) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL MH14790) | |
| 101YM0800X Counselor, Mental Health (Licence: FL MH14790) | |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2021-10-29 |