| NPI | 1396253928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3658) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 1554) |
| 101YM0800X Counselor, Mental Health (Licence: NE 5764) | |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2024-05-03 |