| NPI | 1548617517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MT BBH-PCLC-LIC-43609) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MT LAC-LAC-LIC-4424) |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2021-05-17 |