| NPI | 1851063903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701013134) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A19335) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0711000418) | |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2024-01-30 |