| NPI | 1093307902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 8757-125) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 19283-130) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16593-131) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2021-02-11 |
| Last Update Date | 2024-03-27 |