| NPI | 1932592326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C3784) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 508181) |
| 101YM0800X Counselor, Mental Health (Licence: IL 178008898) | |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2019-04-16 |