| NPI | 1861970444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 6893-125) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16214-132) |
| 101YM0800X Counselor, Mental Health (Licence: WI 6893-125) | |
| Enumeration Date | 2018-08-05 |
| Last Update Date | 2018-08-05 |