| NPI | 1255530671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1516) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 3745) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 1498) | |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2024-02-09 |