| NPI | 1417600248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IA 22125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 120989) |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2024-03-21 |