| NPI | 1093213621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: SC 7880) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC 13692) |
| 101YM0800X Counselor Mental Health (Licence: FL TPMC1904) | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC LCAS-23758) | |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2024-10-23 |