| NPI | 1093941585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 8489) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE p-703) |
| 101YP2500X Counselor, Professional (Licence: TX 69522) | |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2023-10-19 |