| NPI | 1326282294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 1981) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH 1038) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH 0135) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VT 151.0127053) | |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2020-04-16 |