| NPI | 1659019107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE LPMHP-12848) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NE P-1940) |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2023-04-26 |