| NPI | 1871147520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AK 182614) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AK 4679) |
| 101YM0800X Counselor, Mental Health (Licence: WA MX61300797) | |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2024-06-01 |