| NPI | 1801283551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0014068) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 0163101) |
| 101YM0800X Counselor, Mental Health (Licence: NM 0174051) | |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2016-09-03 |