| NPI | 1750779732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 082255) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE P-1214) |
| 101YM0800X Counselor, Mental Health (Licence: NE 10474) | |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2023-12-27 |