| NPI | 1932709920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 16104) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-27118) |
| 101YP2500X Counselor, Professional (Licence: NC 16104) | |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2024-07-20 |