| NPI | 1093167462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MS LPC2607) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MS LPC2607) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ID LCPC7842) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MS LCPC) | |
| 101YM0800X Counselor, Mental Health (Licence: ID LCPC7842) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MS LPC2607) | |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2025-12-19 |