| NPI | 1770032526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NE 2316) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 1181) |
| 101YM0800X Counselor, Mental Health (Licence: NE 4842) | |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2024-02-05 |