| NPI | 1851055933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A17395) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 27575) |
| 101YP2500X Counselor, Professional (Licence: NC A17395) | |
| Enumeration Date | 2021-10-26 |
| Last Update Date | 2024-11-19 |