| NPI | 1629717400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6451022752) |
| 101YP2500X Counselor, Professional (Licence: MI 6451022752) | |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2024-05-20 |