| NPI | 1083168389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 6507-125) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16072-131) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16136-132) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2024-03-27 |