| NPI | 1275071532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH-61175572) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 180.007496) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 28374) | |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2023-01-04 |