| NPI | 1558961441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701010674) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SD LPC20574) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SD 19021812) | |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2025-01-22 |