| NPI | 1144493867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KS 06040) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KS LCPC-03544) |
| 101YM0800X Counselor Mental Health (Licence: CO LPC.0018571) | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: KS LCAC-00819) | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CO ACD.0000487) | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NH 1008) | |
| 1041C0700X Social Worker Clinical (Licence: ME LC23303) | |
| 1041C0700X Social Worker Clinical (Licence: NH 2925) | |
| Enumeration Date | 2008-04-03 |
| Last Update Date | 2024-03-13 |