| NPI | 1992053920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60821276) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL ICADC703210) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL CAP 4884) | |
| 101YM0800X Counselor, Mental Health (Licence: FL IMH 9806) | |
| Enumeration Date | 2012-08-23 |
| Last Update Date | 2021-11-15 |