| NPI | 1366955403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 6984) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SC 6984) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health (Licence: SC 6984) | |
| Enumeration Date | 2017-11-12 |
| Last Update Date | 2019-06-03 |