| NPI | 1922765320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3848) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: P-2105) |
| 104100000X Social Worker (Licence: 2433) | |
| Enumeration Date | 2021-11-19 |
| Last Update Date | 2024-10-09 |