| NPI | 1710429253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 2574) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NE 1395) |
| 101Y00000X Counselor | |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2023-08-28 |