| NPI | 1700259645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0710102885) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2015-10-31 |
| Last Update Date | 2022-07-21 |