| NPI | 1619414349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 13093) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 21056) |
| 101YM0800X Counselor, Mental Health (Licence: NC 13093) | |
| 101Y00000X Counselor (Licence: NC 13093) | |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2023-08-07 |