| NPI | 1386254407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 26227) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 1154368) |
| 101YM0800X Counselor, Mental Health (Licence: NC A15754) | |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2020-08-04 |