| NPI | 1720738594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DE PC-0011427) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DE PC-0011427) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DE 2008) | |
| Enumeration Date | 2022-03-25 |
| Last Update Date | 2024-02-07 |