| NPI | 1326404666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: PA 6501) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: PA 6501) |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2024-01-03 |