| NPI | 1609940402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2432) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE P-994) |
| 101YM0800X Counselor, Mental Health (Licence: NE 114) | |
| 101YP2500X Counselor, Professional (Licence: NE 1330) | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2021-06-03 |