| NPI | 1013442250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC LCMHC-12610) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC LCAS-23739) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor Mental Health (Licence: NC 12610) | |
| 101YP2500X Counselor Professional (Licence: NC A12610) | |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2022-11-29 |