| NPI | 1790311801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: 305497) |
| 101YM0800X Counselor, Mental Health (Licence: MN 3872) | |
| Enumeration Date | 2020-03-20 |
| Last Update Date | 2023-06-06 |