| NPI | 1942727193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 13290) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: NC 983708) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 23876) | |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2023-09-03 |