| NPI | 1932374840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: FL ADC-010575-2015) |
| 101YM0800X Counselor Mental Health (Licence: FL MH 13816) | |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2016-03-30 |