| NPI | 1871874461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MO 2014027374) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MO 7820) |
| 101YM0800X Counselor Mental Health (Licence: MO 2014027374) | |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2024-01-22 |