| NPI | 1457048001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO .0021936) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| Enumeration Date | 2023-04-21 |
| Last Update Date | 2024-07-31 |