| NPI | 1124310800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3728) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 936) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE P-843) | |
| 101YM0800X Counselor, Mental Health (Licence: NE 1665) | |
| 101YP2500X Counselor, Professional (Licence: NE 1852) | |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2023-02-10 |