| NPI | 1316224561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 9104) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-2787) |
| 101YM0800X Counselor, Mental Health (Licence: NC 9104) | |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2018-08-21 |