| NPI | 1164608931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC S6839) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-2395) |
| 101YM0800X Counselor, Mental Health (Licence: NC CCS-20212) | |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2024-11-14 |