| NPI | 1588751218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 2219) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NE 512) |
| 101YM0800X Counselor Mental Health (Licence: NE 2100) | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2024-09-13 |