| NPI | 1649630344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0016136) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0002098) |
| 101YM0800X Counselor, Mental Health (Licence: UT 9884949-6009) | |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2024-05-03 |