| NPI | 1881881977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IA 05635) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: IA 12109) |
| 103TF0200X Psychologist Forensic | |
| 1041C0700X Social Worker Clinical (Licence: IA 05635) | |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2024-10-23 |