| NPI | 1114469988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701002531) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 508942) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0718000040) | |
| 106H00000X Marriage & Family Therapist (Licence: VA 0717000438) | |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2023-11-09 |