| NPI | 1871700708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 3394) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: 14967) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2024-03-27 |