| NPI | 1831843754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC A17993) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 27877) |
| 101YM0800X Counselor, Mental Health (Licence: NC A17993) | |
| 1041C0700X Social Worker, Clinical (Licence: NC P016942) | |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2022-09-07 |