| NPI | 1730119363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 4047) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 4047) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 4047) | |
| 101YM0800X Counselor, Mental Health (Licence: NC 4047) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2018-01-24 |