| NPI | 1487905980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 11097) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2021-07-09 |