| NPI | 1083203657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NE 1524) |
| 101YP2500X Counselor Professional (Licence: NE 2766) | |
| Enumeration Date | 2021-01-18 |
| Last Update Date | 2023-12-22 |