| NPI | 1932494721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC S8942) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 2049) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-2049) | |
| 101YM0800X Counselor, Mental Health (Licence: NC CCS-20268) | |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2023-12-14 |