| NPI | 1407511181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 4363) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NE 3140) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 1697) | |
| Enumeration Date | 2021-11-08 |
| Last Update Date | 2026-03-04 |