| NPI | 1871052290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC P015340) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-24929) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-4929) | |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2021-08-06 |