| NPI | 1952486714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1788) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 329) |
| 101YP2500X Counselor, Professional (Licence: NE 1074) | |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2016-07-11 |