| NPI | 1336882372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VT 151.0134175) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT BBH-LAC-64684) |
| 101YM0800X Counselor, Mental Health (Licence: MT BBH-LCPC-70407) | |
| Enumeration Date | 2022-04-18 |
| Last Update Date | 2024-04-30 |