| NPI | 1922882638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 28881) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 1726249) |
| 101YM0800X Counselor, Mental Health (Licence: NC A18802) | |
| Enumeration Date | 2023-08-23 |
| Last Update Date | 2023-08-23 |