| NPI | 1598418980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A19602) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC CADC-28103) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-27746) | |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2024-04-05 |