| NPI | 1467095794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: AK 5121) | |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2024-02-29 |