| NPI | 1235438268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1593) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 4133) |
| 101YM0800X Counselor, Mental Health (Licence: NE 2030) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 1073) | |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2016-08-25 |