| NPI | 1508017971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 1278) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC S7135) |
| 101YP2500X Counselor, Professional (Licence: NC 7135) | |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2024-05-28 |