| NPI | 1942685508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 10681) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCASA-20560) |
| 101YM0800X Counselor, Mental Health (Licence: NC LPCA-A10681) | |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2021-05-04 |