| NPI | 1720524929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 2835) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH 1206) |
| 1041C0700X Social Worker, Clinical (Licence: NH 2835) | |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2024-07-23 |