| NPI | 1609544931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 12757) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 12757) |
| 101YS0200X Counselor, School (Licence: NE 12757) | |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2023-04-11 |