| NPI | 1184076176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OR 21-02-20017) |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2025-02-10 |