| NPI | 1952920548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT BBH-LCPC-LIC-49913) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT BBH-ACLC-LIC-48326) |
| 101YM0800X Counselor, Mental Health (Licence: MT PCLC-LIC-42831) | |
| 101YP2500X Counselor, Professional (Licence: WA LH61234676) | |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2022-11-04 |