| NPI | 1336316033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 812) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH 0571) |
| 101YM0800X Counselor, Mental Health (Licence: MA 10003963) | |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2025-04-21 |