| NPI | 1144608944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 11503) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC CRC# 00119166) |
| 101Y00000X Counselor (Licence: NC A11503) | |
| 101Y00000X Counselor (Licence: NC 11503) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-21598) | |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2023-11-26 |