| NPI | 1316227721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 7205) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 0665) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2023-11-20 |