| NPI | 1285177261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 225400000X Rehabilitation Practitioner (Licence: AK 1044974) | |
| Enumeration Date | 2016-11-23 |
| Last Update Date | 2022-09-26 |