| NPI | 1003139809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 2660) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AL 2660) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AL 2660) | |
| 101YM0800X Counselor, Mental Health (Licence: 2660) | |
| 103K00000X Behavior Analyst (Licence: AL 2660) | |
| 106H00000X Marriage & Family Therapist (Licence: AL 2660) | |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2013-08-13 |