| NPI | 1770028003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NE 1347) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NE P-1231) |
| 101YM0800X Counselor Mental Health (Licence: NE 13089) | |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2022-08-15 |