| NPI | 1902129141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NE 1920) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 1016) |
| 101YM0800X Counselor, Mental Health (Licence: NE 3877) | |
| 101YM0800X Counselor, Mental Health (Licence: NE 927) | |
| 101YP2500X Counselor, Professional (Licence: MT BBH-LCPC-LIC-9676) | |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2018-04-24 |