| NPI | 1396249207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2759) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE P-1358) |
| 101YM0800X Counselor, Mental Health (Licence: NE 11771) | |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2021-07-29 |