| NPI | 1083045983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC9900) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ID 10040) |
| 101YM0800X Counselor, Mental Health (Licence: ID LPC7871) | |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2023-10-23 |