| NPI | 1891291787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 7318) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 7318) |
| 101YM0800X Counselor, Mental Health (Licence: LA 7318) | |
| 103K00000X Behavior Analyst (Licence: LA 7318) | |
| 171M00000X Case Manager/Care Coordinator (Licence: LA 7318) | |
| Enumeration Date | 2018-04-01 |
| Last Update Date | 2025-03-12 |