| NPI | 1083007959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ND 550-2-15-06-196) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1544) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0718000251) | |
| 101YM0800X Counselor, Mental Health (Licence: VA 0701005841) | |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2015-04-14 |