| NPI | 1023208410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C3006) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 175348) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 02-11-101) | |
| 101YM0800X Counselor, Mental Health | |
| 101YM0800X Counselor, Mental Health (Licence: AL 3787) | |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2024-04-19 |