| NPI | 1073898698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 1230) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: HI MFT-830-0) |
| 106H00000X Marriage & Family Therapist (Licence: UT 11246200-3902) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: UT 11246200-6006) | |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2023-03-31 |