| NPI | 1497144851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 12839) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 21355) |
| 101YP2500X Counselor, Professional (Licence: NC A12839) | |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2022-11-17 |