| NPI | 1851362156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 0075601) | |
| 101YM0800X Counselor, Mental Health (Licence: NM 0075601) | |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2021-05-20 |