| NPI | 1033651179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 11038) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-21867) |
| 101YP2500X Counselor, Professional (Licence: SD 30775) | |
| 101YP2500X Counselor, Professional (Licence: NE 2548) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IA 20006) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 1329) | |
| 101YM0800X Counselor, Mental Health (Licence: IA 083744) | |
| 101YM0800X Counselor, Mental Health (Licence: NE 2277) | |
| 101YM0800X Counselor, Mental Health (Licence: CO LPC.0019044) | |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2024-09-30 |