| NPI | 1134396278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 3689) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 6140) |
| 101YP2500X Counselor, Professional (Licence: TX 76321) | |
| 101YM0800X Counselor, Mental Health (Licence: NC 17750) | |
| 101YP2500X Counselor, Professional (Licence: AL 3375) | |
| 101YP2500X Counselor, Professional (Licence: ID 8637) | |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2024-09-17 |