| NPI | 1134404833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH 1040) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 8814) |
| 101YM0800X Counselor, Mental Health (Licence: NH 1159) | |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2022-08-04 |