| NPI | 1114272309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 2552) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 2552) |
| 101YM0800X Counselor, Mental Health (Licence: NC P006620) | |
| 104100000X Social Worker (Licence: NC P006620) | |
| 1041C0700X Social Worker, Clinical (Licence: NC P006620) | |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2019-03-12 |