| NPI | 1295366649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC 15354) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC LCAS-26063) |
| 101YM0800X Counselor Mental Health (Licence: CO LPC.0019118) | |
| 225800000X Recreation Therapist (Licence: NC 3371) | |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2023-10-30 |