| NPI | 1710945225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD C4302) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL CAP1599) |
| 101YM0800X Counselor, Mental Health (Licence: FL MH6477) | |
| 101YM0800X Counselor, Mental Health (Licence: FL MH6447) | |
| 101YM0800X Counselor, Mental Health (Licence: MD LC7662) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2018-09-25 |