| NPI | 1578975199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 2141-226) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16094-132) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 17125-130) | |
| 101YM0800X Counselor, Mental Health (Licence: WI 6067-125) | |
| 101YP2500X Counselor, Professional (Licence: WI 6067-125) | |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2023-08-29 |