| NPI | 1932666583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 7814-125) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WI 16486-132) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WI 17775130) | |
| 101YM0800X Counselor Mental Health (Licence: WI 7814-125) | |
| 101YM0800X Counselor Mental Health (Licence: WI 4047226) | |
| Enumeration Date | 2019-03-01 |
| Last Update Date | 2024-01-30 |