| NPI | 1124744727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 17647) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 28371) |
| 101Y00000X Counselor (Licence: NC A17647) | |
| Enumeration Date | 2022-10-14 |
| Last Update Date | 2024-08-05 |