| NPI | 1114261450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LCADC) |
| 101Y00000X Counselor (Licence: MD LCA390) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD LCADC) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health (Licence: MD LCADC) | |
| 101YP2500X Counselor, Professional | |
| 101YP2500X Counselor, Professional (Licence: MD LCADC) | |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2024-04-19 |