| NPI | 1891397071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC 16130) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC LCAS-27328) |
| 101YP2500X Counselor Professional | |
| Enumeration Date | 2020-11-12 |
| Last Update Date | 2024-03-21 |