| NPI | 1083187926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-25409) |
| 101YP2500X Counselor, Professional (Licence: NC A13953) | |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2024-04-04 |