| NPI | 1891125464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH14464) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101Y00000X Counselor (Licence: FL MH14464) | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: FL MH14464) | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor Mental Health | |
| 172V00000X Community Health Worker (Licence: FL MH14464) | |
| Enumeration Date | 2013-11-19 |
| Last Update Date | 2023-02-28 |