| NPI | 1639408016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ND 1064-5-1-20-479) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1615) |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2025-07-12 |