| NPI | 1336513423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VT 000693) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VT 151.0127658) |
| 101YM0800X Counselor, Mental Health (Licence: VT 068.0134356) | |
| Enumeration Date | 2015-11-30 |
| Last Update Date | 2021-07-28 |