| NPI | 1285171561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MI 6401014828) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401014828) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MI 6401014828) | |
| 101YP2500X Counselor Professional (Licence: MI 6401014828) | |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2017-01-25 |