| NPI | 1922594993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MO 2018024701) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MO 2018024701) |
| 101Y00000X Counselor (Licence: MO 2018024701) | |
| 101YM0800X Counselor Mental Health (Licence: MO 2018024701) | |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2021-04-09 |