| NPI | 1942385455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 7331) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL CAP2005) |
| 101YM0800X Counselor, Mental Health (Licence: FL MH7331) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2019-12-26 |