| NPI | 1033274634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401014889) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 2141-0906) |
| 101YP2500X Counselor, Professional (Licence: TX 20001) | |
| 101YP2500X Counselor, Professional (Licence: VA 0701003180) | |
| 163W00000X Registered Nurse (Licence: TX 733532) | |
| 163W00000X Registered Nurse (Licence: PA RN242519L) | |
| 163W00000X Registered Nurse (Licence: VA 0001137449) | |
| 163W00000X Registered Nurse (Licence: IN 28078450A) | |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2016-02-11 |