| NPI | 1225451644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TX 81259) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NE P-1098) |
| 101YM0800X Counselor Mental Health (Licence: NE 9659) | |
| 101YM0800X Counselor Mental Health (Licence: IA 001656) | |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2021-09-19 |