| NPI | 1467591867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NE 672) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NE 1217) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NE P508) | |
| 101YM0800X Counselor Mental Health (Licence: NE 2154) | |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2023-01-25 |