| NPI | 1093163065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 6744-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 6744-125) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16190-132) | |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2022-06-02 |