| NPI | 1609333061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC9020) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LC9020) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD LCA2594) | |
| 101YM0800X Counselor, Mental Health (Licence: MD LC9020) | |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2023-10-18 |