| NPI | 1871940494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO LPC.0016881) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CO 0002053) |
| 101YP2500X Counselor Professional (Licence: CO 0016881) | |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2024-04-25 |