| NPI | 1902209430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH 1549) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health (Licence: NH 4969) | |
| 101YP2500X Counselor, Professional (Licence: NH 1549) | |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2025-05-22 |