| NPI | 1114210721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180015238) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ 15216) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87001357A) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 16405) | |
| 225C00000X Rehabilitation Counselor (Licence: IN 204377) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 1804) | |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2024-07-16 |