| NPI | 1841746146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WI 6995-125) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0701008933) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WI 16382-132) | |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2025-04-01 |