| NPI | 1952688962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3156) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE P-785) |
| 101YP2500X Counselor, Professional (Licence: NE 1638) | |
| 146N00000X Emergency Medical Technician, Basic (Licence: NE 8600) | |
| Enumeration Date | 2011-11-05 |
| Last Update Date | 2011-11-05 |