| NPI | 1629468780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: DE PC-0011143) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: DE PC-0011143) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC LCAS-20626) | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: DE 2030) | |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2024-02-08 |