| NPI | 1407888274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD 93405) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD LCA451) |
| 101YM0800X Counselor, Mental Health (Licence: MD LC2284) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2024-04-23 |