| NPI | 1184021776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: ND 724-8-15-12A) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: ND 1681) |
| 101YM0800X Counselor Mental Health (Licence: ND 724-8-15-12A) | |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2020-09-25 |