| NPI | 1891489985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0021973) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0709025409) |
| 101YM0800X Counselor, Mental Health (Licence: VA 0704015875) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-06-02 |
| Last Update Date | 2025-04-27 |