| NPI | 1982172458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH 1027) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NH 2246) |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2020-05-14 |