| NPI | 1467689356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH8135) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL MT2525) |
| 101Y00000X Counselor (Licence: DC MH8135) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL CAP 2773) | |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2024-02-03 |