| NPI | 1881849230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 918) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 665) |
| 101YM0800X Counselor, Mental Health (Licence: NE 3379) | |
| Enumeration Date | 2008-11-27 |
| Last Update Date | 2016-07-02 |