| NPI | 1568074367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PR 4364) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: PR 4364) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PR 4364) | |
| 106H00000X Marriage & Family Therapist (Licence: PR 4364) | |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2021-12-10 |