| NPI | 1730627761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC A12986) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 22589) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2018-09-07 |