| NPI | 1427470889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: GA 8534) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: GA 3359-R) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CO 7081) | |
| 101YM0800X Counselor Mental Health (Licence: CO 6229) | |
| Enumeration Date | 2014-01-20 |
| Last Update Date | 2016-12-07 |