| NPI | 1033389747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH1584) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 177) |
| 101YM0800X Counselor, Mental Health (Licence: MA 208) | |
| 101YP2500X Counselor, Professional (Licence: NC 507) | |
| 104100000X Social Worker (Licence: MA 204777) | |
| 106H00000X Marriage & Family Therapist (Licence: MA 192) | |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2008-03-10 |