| NPI | 1093197477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C6066) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional (Licence: CA 14156) | |
| 103K00000X Behavior Analyst (Licence: WA 1396179545) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2023-07-05 |