| NPI | 1942607387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH13572) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL ADA-002758-2014) |
| 101YM0800X Counselor, Mental Health (Licence: FL IMH11503) | |
| 101YS0200X Counselor, School (Licence: FL 1080727) | |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2021-05-03 |