| NPI | 1730578782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 3783) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: 512286) |
| 101YM0800X Counselor, Mental Health (Licence: AK 131023) | |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2022-03-17 |