| NPI | 1013430529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC A16358) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC CSAC-2013) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 26812) | |
| 101YM0800X Counselor Mental Health (Licence: NC A16358) | |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2021-10-05 |