| NPI | 1659520294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1232) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 959) | |
| 101YM0800X Counselor, Mental Health (Licence: NE 3824) | |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2021-06-03 |