| NPI | 1326533357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WI 131118-121) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WI 16444-131) |
| 104100000X Social Worker (Licence: WI 9791-123) | |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2023-10-24 |