| NPI | 1174074900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WI 5922-125) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WI 17966-130) |
| 101YP2500X Counselor Professional (Licence: WI 5922-125) | |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2024-03-14 |