| NPI | 1952923633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CDCA.140459) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CDCA.140459) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2025-01-10 |