| NPI | 1053968404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 90701) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401225320) |
| 101YP2500X Counselor, Professional (Licence: WI 11859-125) | |
| 101YP2500X Counselor, Professional (Licence: AZ LPC-24183) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 16530) | |
| 101YP2500X Counselor, Professional (Licence: CO LPC.0022514) | |
| 101YP2500X Counselor, Professional (Licence: OH E.2505700) | |
| 101YP2500X Counselor, Professional (Licence: ID 9671246) | |
| 101YP2500X Counselor, Professional (Licence: AK 241965) | |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2026-04-18 |