| NPI | 1871872648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: AL 2846) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AL 2846) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YP2500X Counselor Professional (Licence: AL 2846) | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2014-04-01 |