| NPI | 1306367198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 13649) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 23741) |
| 101YP2500X Counselor Professional (Licence: SC 7119) | |
| 101YP2500X Counselor Professional (Licence: NC A13649) | |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2019-10-28 |