| NPI | 1891067443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 5283-125) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16479-130) |
| 101YM0800X Counselor, Mental Health (Licence: WI 1298-226) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 5843-132) | |
| Enumeration Date | 2012-01-29 |
| Last Update Date | 2014-07-23 |