| NPI | 1760089205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225C00000X Rehabilitation Counselor (Licence: PR 1609) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PR 1609) |
| 101YM0800X Counselor, Mental Health (Licence: PR 1609) | |
| 104100000X Social Worker (Licence: PR 23237) | |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2021-02-03 |