| NPI | 1043626526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC LPC-11446) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LPC-11446) |
| 101Y00000X Counselor (Licence: NC LCAS-20774) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-20774) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC CCS-20807) | |
| 101YM0800X Counselor, Mental Health (Licence: NC LPC-11446) | |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2024-01-22 |