| NPI | 1952441735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 797) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NE 926) |
| 101YM0800X Counselor Mental Health (Licence: NE 2734) | |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2023-02-22 |