| NPI | 1326678160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL MH20607) |
| 1041C0700X Social Worker Clinical (Licence: FL MH20607) | |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2022-09-16 |