| NPI | 1083239867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: RI MHC01172) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: RI CDP00840) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: RI 200929) | |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2020-10-23 |