| NPI | 1649871211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 6858753-3506) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: UT 6858753-6006) |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-02 |