| NPI | 1518309582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 1141) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH 0576) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH 0039) | |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2019-06-12 |