| NPI | 1043625908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 7856) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 17093-130) |
| 101YM0800X Counselor, Mental Health (Licence: WI ATR) | |
| 101YP2500X Counselor, Professional (Licence: WI 5744) | |
| 101YP2500X Counselor, Professional (Licence: TX 76056) | |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2023-11-27 |