| NPI | 1851328728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CT 5956) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: RI LCDP307) | |
| 101YM0800X Counselor, Mental Health (Licence: RI MHC120) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2023-05-09 |