| NPI | 1265069363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC A15675) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-26121) |
| 101YM0800X Counselor, Mental Health (Licence: NC A15675) | |
| 101YM0800X Counselor, Mental Health (Licence: NC 15675) | |
| 101YP2500X Counselor, Professional (Licence: NC 15675) | |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2022-08-30 |