| NPI | 1851889224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL ADC-001791-2014) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL IMT2691) |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-05-01 |