| NPI | 1225449044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC S11088) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-3283) |
| 101YM0800X Counselor, Mental Health (Licence: NC 11088) | |
| 101YP2500X Counselor, Professional (Licence: SC 6407) | |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2022-11-20 |