| NPI | 1932699949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701007656) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: VA 0710102618) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2024-02-16 |