| NPI | 1295156735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: UT 7766623-6005) |
| Enumeration Date | 2013-12-31 |
| Last Update Date | 2022-12-21 |