| NPI | 1871790808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AL LPC#2247) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AL MLAP#319) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AL DOT-SAP) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AL 126407) | |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2016-08-10 |