| NPI | 1285183665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701006731) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: VA 0701006731) |
| 101YM0800X Counselor Mental Health (Licence: VA 0701006731) | |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2016-09-27 |