| NPI | 1902053895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ND 1170-12-15-21-553) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1582) |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2024-05-15 |