| NPI | 1063896553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2368) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE P-1318) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 1345) | |
| 101YM0800X Counselor, Mental Health (Licence: NE 10548) | |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2023-03-09 |