| NPI | 1871666016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE LIMHP 176) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE LADC 561) |
| 101YM0800X Counselor, Mental Health (Licence: NE LMHP 1194) | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2023-08-18 |