| NPI | 1487242467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 10121-125) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 18961-130) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 18961130) | |
| 101YM0800X Counselor, Mental Health (Licence: WI 4869226) | |
| Enumeration Date | 2021-01-06 |
| Last Update Date | 2022-11-10 |