| NPI | 1306250667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 9351) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 3572-A) |
| 101YM0800X Counselor, Mental Health (Licence: NC 9351) | |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2019-05-03 |