| NPI | 1457719148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 12076) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A12076) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-22714) | |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2024-03-29 |