| NPI | 1841792850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 16110) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-21808) |
| 101YM0800X Counselor, Mental Health (Licence: IA 089624) | |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2025-05-19 |