| NPI | 1336849058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD LCA2830) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LC13571) |
| 101YM0800X Counselor, Mental Health (Licence: MD LC13571) | |
| 101YP2500X Counselor, Professional (Licence: MD LC13571) | |
| Enumeration Date | 2023-03-09 |
| Last Update Date | 2023-03-09 |