| NPI | 1902083314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL CAP2899) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH9206) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2021-05-27 |