| NPI | 1649250457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH20778) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39001578A) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87000302A) | |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2024-04-07 |