| NPI | 1184004152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 127895) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LCSW-21266) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15692) | |
| 101YM0800X Counselor, Mental Health (Licence: NV 11129-C) | |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2024-04-16 |