| NPI | 1760680474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 0006767) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 3031-BHE001) | |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2025-04-21 |