| NPI | 1407301658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 16625) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-27294) |
| 101YM0800X Counselor, Mental Health (Licence: NC A16625) | |
| 101YM0800X Counselor, Mental Health (Licence: NC 16625) | |
| 101YP2500X Counselor, Professional (Licence: NC A16625) | |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2023-04-18 |