| NPI | 1942736152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2017-05-08 |
| Last Update Date | 2017-05-08 |