| NPI | 1053857086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 8252-125) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 18160-130) |
| 101YM0800X Counselor, Mental Health (Licence: FL TPMC4485) | |
| Enumeration Date | 2017-01-14 |
| Last Update Date | 2024-04-23 |