| NPI | 1568016699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 5364-226) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 17010-130) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16458-131) | |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2022-07-21 |