| NPI | 1932594322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD LPC-MH2319) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SD 15031688) |
| 101YM0800X Counselor, Mental Health (Licence: SD LPC7237) | |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2018-03-17 |