| NPI | 1982780623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: AK 579) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL MH3681) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: FL MH3681) | |
| 106H00000X Marriage & Family Therapist (Licence: FL MH3681) | |
| 101YM0800X Counselor Mental Health (Licence: FL MH3681) | |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2009-07-02 |