| NPI | 1104347822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 14148) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC LCAS-20646) |
| 101YM0800X Counselor Mental Health (Licence: NC 14148) | |
| 101YM0800X Counselor Mental Health (Licence: NC A14148) | |
| 101YP2500X Counselor Professional (Licence: NC A14148) | |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2023-03-25 |