| NPI | 1891178661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: SC 9487) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-21380) |
| 101YM0800X Counselor, Mental Health (Licence: NC A13870) | |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2025-09-02 |