| NPI | 1174089080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH 1052) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NH 2264) |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2020-08-31 |