| NPI | 1871013227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WI 3746-226) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WI 15871-132) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: GA 899) | |
| 174400000X Specialist | |
| 225XM0800X Occupational Therapist Mental Health | |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2018-04-12 |