NPI | 1609367853 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 7575-125) |
Additional Taxonomies | 101YS0200X Counselor, School |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16588-132) | |
Enumeration Date | 2018-05-23 |
Last Update Date | 2025-01-11 |