| NPI | 1912259532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 2053) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CT 000963) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CT 2053) | |
| 101YM0800X Counselor Mental Health (Licence: CT 2053) | |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2019-06-10 |