| NPI | 1932325875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: UT 350065-6004) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: UT 350065-6006) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2019-03-07 |