| NPI | 1669702932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 4947) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: 24174) |
| 101YM0800X Counselor, Mental Health (Licence: 24174) | |
| Enumeration Date | 2010-01-07 |
| Last Update Date | 2019-08-09 |