| NPI | 1952577488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 7295-125) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 11046-132) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 11046) | |
| 101YP2500X Counselor, Professional | |
| 101YP2500X Counselor, Professional (Licence: 7295-125) | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2020-10-14 |