| NPI | 1093339566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC A16145) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-26593) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2021-07-28 |