| NPI | 1114578135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 2496) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH 1172) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2023-02-23 |