| NPI | 1578269940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701012359) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0701012359) |
| 101YM0800X Counselor, Mental Health (Licence: VA 0704013170) | |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2023-12-28 |