| NPI | 1003350422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WI 17018131) |
| 101YM0800X Counselor Mental Health (Licence: WI 8095-125) | |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2024-05-14 |