| NPI | 1982258182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MO 2021023584) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MO 11973) |
| 101YM0800X Counselor Mental Health (Licence: MO 2021023584) | |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2023-06-01 |