| NPI | 1881350122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WI 11708-125) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MA 22541) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MN 306324) | |
| 101YM0800X Counselor Mental Health (Licence: MN 4888) | |
| Enumeration Date | 2021-11-10 |
| Last Update Date | 2025-04-14 |