| NPI | 1851861256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH15376) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL IMH15376) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL IMH15376) | |
| 101YM0800X Counselor, Mental Health (Licence: FL 15376) | |
| 171M00000X Case Manager/Care Coordinator (Licence: FL IMH15376) | |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2019-03-15 |