| NPI | 1528494846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-5046) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ID LCPC-5046) |
| 101YP2500X Counselor, Professional (Licence: ID LCPC-5046) | |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2024-02-01 |