| NPI | 1093050411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 9649) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 9649) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-2959) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 2959) | |
| 101YM0800X Counselor, Mental Health (Licence: NC A9649) | |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2017-09-05 |