| NPI | 1538873229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC LCAS-28368) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC P017852) |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2024-11-23 |