| NPI | 1720524341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 7435) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 2601) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YS0200X Counselor, School | |
| Enumeration Date | 2017-01-07 |
| Last Update Date | 2019-06-18 |