| NPI | 1881754323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701006739) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0718000325) |
| 101YP2500X Counselor, Professional (Licence: OK 10666) | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2024-11-10 |