| NPI | 1497112213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 11145) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-22587) |
| 101YP2500X Counselor, Professional (Licence: NC 11145) | |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2024-08-16 |