| NPI | 1891934998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: LA 2430) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: LA 729) |
| 106H00000X Marriage & Family Therapist (Licence: LA 215) | |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2022-04-27 |