| NPI | 1144079781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0709024802) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0704016096) |
| 101YM0800X Counselor, Mental Health (Licence: VA 0704016096) | |
| Enumeration Date | 2024-05-15 |
| Last Update Date | 2024-05-15 |