| NPI | 1598136988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: SC 7764) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: SC 7764) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2024-11-10 |