| NPI | 1982029393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: GA CERTIFICATION:C0062) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: GA CERTIFICATION:CPD002) |
| 101YP1600X Counselor Pastoral (Licence: GA ORDAINED) | |
| Enumeration Date | 2014-02-21 |
| Last Update Date | 2014-02-21 |