| NPI | 1922604966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 15217) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-25652) |
| 101YM0800X Counselor, Mental Health (Licence: NC A15217) | |
| Enumeration Date | 2020-12-06 |
| Last Update Date | 2024-12-04 |