| NPI | 1902229149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1546) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE P-1889) |
| 101YM0800X Counselor, Mental Health (Licence: NE 169) | |
| 101YM0800X Counselor, Mental Health (Licence: NE 4640) | |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2022-04-14 |