| NPI | 1861130833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YS0200X Counselor School (Licence: TN 000707243) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2022-05-20 |
| Last Update Date | 2022-05-20 |