| NPI | 1124312640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC010321) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NV 262512) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 00173) | |
| 101YM0800X Counselor, Mental Health (Licence: NV 00173) | |
| 171M00000X Case Manager/Care Coordinator (Licence: NV 00173) | |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2023-09-20 |