| NPI | 1487922969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ 11597) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IN F18635) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ 1291) | |
| 101YM0800X Counselor, Mental Health (Licence: AZ 11597) | |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2011-12-12 |