| NPI | 1528496072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 10479) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 3524) |
| 101YM0800X Counselor Mental Health (Licence: NC 10479) | |
| Enumeration Date | 2013-10-18 |
| Last Update Date | 2024-05-16 |