| NPI | 1972690758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE LIMHP 1208) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE LMHP 1252) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NE 1308) | |
| 101YM0800X Counselor Mental Health (Licence: NE LMHP 1252) | |
| 171M00000X Case Manager/Care Coordinator (Licence: NE LIMHP 1208) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2021-03-12 |