| NPI | 1932791845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC A16327) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 26998) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2021-02-11 |
| Last Update Date | 2023-08-03 |