| NPI | 1003163213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 10911) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 10911) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 20281) | |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2024-02-01 |