| NPI | 1114417979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 12890) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-23415) |
| 101YM0800X Counselor, Mental Health (Licence: FL TPMC639) | |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2024-04-30 |