| NPI | 1396385936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC LCAS-26102) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC A15467) |
| 101YP2500X Counselor Professional (Licence: NC A15467) | |
| Enumeration Date | 2020-01-12 |
| Last Update Date | 2020-01-13 |