| NPI | 1891117883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NE 1883) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NE 1276) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NE P-1415) | |
| 101YM0800X Counselor Mental Health (Licence: NE 4887) | |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2020-10-07 |