| NPI | 1548517923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12203) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL APC-004748-2014) |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2021-03-24 |