| NPI | 1376915942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 6503) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA 6503) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 6503) | |
| 101YM0800X Counselor, Mental Health (Licence: LA 6503) | |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2023-07-20 |