| NPI | 1962740068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NE 3317) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 1403) |
| 101YM0800X Counselor, Mental Health (Licence: NE 9859) | |
| 101YM0800X Counselor, Mental Health (Licence: NE 3317) | |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2024-11-08 |