| NPI | 1871191189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NE 842) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 3722) |
| 101YP2500X Counselor Professional (Licence: NE 1848) | |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2020-10-09 |