| NPI | 1750557039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AR P1204045) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AR 375L) |
| 101YM0800X Counselor, Mental Health (Licence: MO 2024011977) | |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2024-07-30 |