| NPI | 1184891640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3867) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 889) |
| 101YP2500X Counselor, Professional (Licence: NE 1917) | |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2023-12-12 |