| NPI | 1346683919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701005338) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: VA 0701005338) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: VA 0710102755) | |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2018-03-17 |