| NPI | 1922634153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701006511) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0710102944) |
| 101YP2500X Counselor, Professional (Licence: NY 011888) | |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2023-12-19 |