| NPI | 1487737243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NE 121) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 3034) |
| 101YP2500X Counselor, Professional (Licence: NE 75258) | |
| 101YP2500X Counselor, Professional (Licence: NE 1569) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 739) | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2008-11-06 |