| NPI | 1487474888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC A18864) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC A18864) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 29447) | |
| Enumeration Date | 2024-10-11 |
| Last Update Date | 2024-10-11 |