| NPI | 1215387162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 6952-125) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 17626) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16402-131) | |
| 101YM0800X Counselor, Mental Health (Licence: WI 3068) | |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2024-01-04 |