| NPI | 1730430869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61165683) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 284-C) |
| 101Y00000X Counselor (Licence: NV 0116-GS) | |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2021-07-09 |