| NPI | 1003180522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WI 5349-125) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16211-132) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2023-04-05 |