| NPI | 1730433079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA CADCII1364) |
| 101YP2500X Counselor, Professional (Licence: GA LPC012915) | |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2025-02-12 |