| NPI | 1093982118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1543) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 4316) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 814) | |
| 101Y00000X Counselor (Licence: NE 2098) | |
| 101YM0800X Counselor, Mental Health (Licence: NE 9295) | |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2019-09-06 |