| NPI | 1053851782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 2118) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH 1212) |
| 101YM0800X Counselor, Mental Health (Licence: ME CC6570) | |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2026-03-24 |