| NPI | 1841867488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701010467) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0710103796) |
| 101YP2500X Counselor, Professional (Licence: VA 0701010467) | |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2023-12-29 |