| NPI | 1861946071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2243) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IA 20R002) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 1314) | |
| 101YM0800X Counselor, Mental Health (Licence: IA 099212) | |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2023-11-14 |