| NPI | 1700138344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 855) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE P-1168) |
| 101YM0800X Counselor, Mental Health (Licence: NE 3715) | |
| 101YM0800X Counselor, Mental Health (Licence: NE 1845) | |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2014-04-10 |