| NPI | 1538706833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 6625-125) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 18293-130) |
| 101YM0800X Counselor, Mental Health (Licence: WI 6625-125) | |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2021-11-29 |