| NPI | 1437762507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NE 2803) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE P-1770) |
| 101YM0800X Counselor, Mental Health (Licence: NE 3252) | |
| 101YM0800X Counselor, Mental Health (Licence: NE 5953) | |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2024-03-27 |