| NPI | 1023273521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2012036936) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MO 6873) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 743) | |
| 101YM0800X Counselor, Mental Health (Licence: NE 8396) | |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2024-03-15 |