| NPI | 1518363548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1933) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 1175) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2021-06-16 |