| NPI | 1083786271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 1153) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 2579) |
| 101YP2500X Counselor Professional (Licence: NE 1414) | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NE 844) | |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2014-12-12 |