| NPI | 1003260571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-23078) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 20-05-25) |
| 101YM0800X Counselor, Mental Health (Licence: OR c5305) | |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2025-01-16 |