| NPI | 1891442273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 6067) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 12930) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2022-03-07 |
| Last Update Date | 2023-12-06 |