| NPI | 1730846387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: VA 0701010109) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0718000566) |
| 101YM0800X Counselor, Mental Health (Licence: VA 0701010109) | |
| Enumeration Date | 2021-11-18 |
| Last Update Date | 2024-12-16 |