| NPI | 1437277613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2860) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 812) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE P-365) | |
| 101YM0800X Counselor, Mental Health (Licence: NE 7348) | |
| 101YP2500X Counselor, Professional (Licence: NE 1753) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2023-02-01 |