| NPI | 1841887924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 15699) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 26951) |
| 101YM0800X Counselor, Mental Health (Licence: NC 15699) | |
| Enumeration Date | 2020-12-23 |
| Last Update Date | 2023-01-12 |