| NPI | 1669867222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 3738) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 0003738) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 0006067) | |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2020-09-23 |