| NPI | 1538531876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH9356) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL MH9356) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL CAP2633) | |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2021-05-10 |